Agreement is given to appear in photographs/video/radio recordings to be taken for Gloucestershire Hospitals NHS Foundation Trust for publicity, information, education and exhibition purposes. I understand that they may be used in printed articles seen by the general public, social media posts, on the internet on radio, television or in medical textbooks on public sale. I release Gloucestershire Hospitals NHS Foundation Trust and/ or its appointed agents from any liability resulting from the taking, producing or completing the photographs and/ or video/radio/webcam applications and/ or being quoted/ misquoted following an interview by media or hospital personnel. I understand I will not receive monetary or monetary compensation for using my name, words, recording, photographs and/ or video applications. I understand that on some occasions, the copyright for images and/ or footage produced by a third party may remain with that third party rather than with Gloucestershire Hospitals. Consent must be freely given (i.e. not coerced) and can be withdrawn at any time.

(of lead if for a group)
Please note any exceptions e.g. internal use only (not social media)